D.R.L. §113 [This Order must be issued within 30 days of filing Adoption Form 1-G (Order Regarding Venue) (8/2010) of adoption petition in cases filed before a judge than the judge who heard most recent Family Court proceeding] At a term of the Family Court of the State of New York, held in and for the County of at , New York, on PRESENT: Hon. Judge ......................................................................................... In the Matter of the Adoption of A Child Whose First Name Is: ..................................................................................... The petition regarding the adoption of the above-named child having been filed in this Court, and the affirmation of Petitioner's attorney regarding venue, dated [specify]: having been presented to this Court, and this Court having notified the parties to this action and given them an opportunity to present facts and legal argument regarding venue, And this Court having communicated with the Hon. , Judge of the Family Court, County, and the Hon. , Judge of the Family Court, County, having submitted a Determination Regarding Venue (Form 1-F) to this Court, dated [specify]: , that contains a determination regarding the venue of this action, NOW, and upon all the papers and proceedings herein, it is hereby ORDERED that the determination of venue by the Family Court, County, and the reasons stated therein be incorporated into this Order, and it is further [Check applicable box]: G ORDERED that the adoption petition regarding the above-named child be heard in this Court forthwith; OR G ORDERED that the adoption petition regarding the above-named child be transferred to the Hon. , Judge of the Family Court, County, forthwith, but in no event more than 35 days from the date of filing of the adoption petition; Docket No. ORDER REGARDING VENUE American LegalNet, Inc. www.FormsWorkFlow.com Adoption Form 1-G AND IT IS FURTHER ORDERED that [specify; delete if inapplicable]: Page 2 ENTER ______________________________ G Judge of the Family Court G Surrogate Dated: , . PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, WHICHEVER IS EARLIEST. Check applicable box: 9 Order mailed on [specify date(s) and to whom mailed ]:___________________________ 9 Order received in court on [specify date(s) and to whom given]:_____________________ American LegalNet, Inc. www.FormsWorkFlow.com